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A&H Claims Specialist (Executive / Senior Executive)

A&H Claims Specialist (Executive / Senior Executive)

HyppiesKuala Lumpur, Kuala Lumpur, Malaysia
1 hari lalu
Penerangan pekerjaan

Accident & Health Claims Specialist (Executive / Senior Executive)

Hyppies Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia

Join one of the most prominent insurance companies as an Accident & Health Claims Specialist (Executive / Senior Executive) ! This role involves accurate and fair processing of A&H claims within agreed timelines and ensuring compliance with policies, guidelines, and regulatory standards.

Key Responsibilities

  • Assess and process Accident & Health (A&H) claims accurately and fairly within agreed timelines.
  • Ensure all claims decisions comply with policy terms, internal guidelines, regulatory standards, and reinsurance arrangements.
  • Conduct necessary investigations and liaise with claimants, medical providers, financial consultants, and other stakeholders to validate claims.
  • Monitor and follow up on outstanding documents or information to support timely adjudication.
  • Collaborate with internal teams to ensure smooth end-to-end claims handling and adherence to service level agreements.
  • Handle customer enquiries and appeals with professionalism and empathy, ensuring a positive experience.
  • Contribute to process and system improvement initiatives, including testing and feedback for system enhancements.

Qualifications & Experience

  • Minimum 1-2 years of experience handling Life or Health insurance claims.
  • Good command of English, with proficiency in Mandarin (to manage invoices containing Chinese characters).
  • Strong analytical, communication, and problem‑solving abilities.
  • Customer‑focused mindset with resilience in handling pressure and complex cases.
  • Self‑driven, organized, and capable of working independently with minimal supervision.
  • Cooperative team player with maturity and accountability.
  • #J-18808-Ljbffr

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